2025-05-07T10:24:19+00:00 2024-06-30 440160260 Forvis Mazars LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2023-07-01 921690774 AXIS HEALTH SYSTEM QALICB INC AXIS 9703352222 150 MERCURY VILLAGE DRIVE DURANGO CO 81301 RYAN PIERCE VP OF FINANCE 9703352222 2025-05-07 true Adam R Smith P00958966 7194714290 2025-05-02 2023 2025-03-06 01:10:19Z RYAN PIERCE 150 MERCURY VILLAGE DRIVE DURANGO CO 81301 260284 false X N/A X 2023 CO AXIS HEALTH SYSTEM QALICB, INC. (QALICB), IS A SUPPORTING ORGANIZATION OF SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC., A COLORADO NONPROFIT CORPORATION, DBA AXIS HEALTH SYSTEM (AXIS). QALICB WAS FORMED SOLELY AND EXCLUSIVELY TO SUPPORT AXIS IN SECURING FUNDING FROM THE FEDERAL NEW MARKETS TAX CREDIT PROGRAM TO FINANCE THE ACQUISITION OF A NEW FACILITY IN DURANGO, CO. 4 3 0 4 0 0 0 0 0 260284 0 0 0 0 0 260284 0 0 0 0 0 0 0 0 0 45174 935129 45174 935129 -45174 -674845 29206250 28748367 27240613 27457575 1965637 1290792 TO BE A SUPPORTING ORGANIZATION OF SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC., A COLORADO NONPROFIT CORPORATION, DBA AXIS HEALTH SYSTEM. false false 860052 0 260284 TO SUPPORT AXIS HEALTH SYSTEM IN SECURING FUNDING FROM THE FEDERAL NEW MARKETS TAX CREDIT PROGRAM TO FINANCE THE ACQUISITION OF A NEW FACILITY IN DURANGO, CO. 860052 true false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false false false false false false false false X 4 3 false true false false false false false true false false false true true true true false false false false false X RYAN PIERCE 9703352222 150 MERCURY VILLAGE DR DURANGO CO 81301 ALEX CONRAD PRESIDENT 3.0 40.0 X X 0 181547 40103 DOYLE FORRESTAL SECRETARY/TREASURER 2.0 0.0 X X 0 0 0 ARNOLD SALAZAR BOARD MEMBER 1.0 0.0 X 0 0 0 SHAK POWERS BOARD MEMBER 1.0 0.0 X 0 0 0 RYAN PIERCE VP OF FINANCE 1.0 40.0 X 0 137957 19213 0 319504 59316 0 false true false 0 0 LEASE INCOME 531120 260284 260284 0 0 0 0 260284 0 0 0 0 0 0 0 0 0 260284 260284 0 0 0 0 75077 75077 0 0 0 0 15000 15000 480684 480684 364368 364368 0 0 0 0 935129 860052 75077 0 69188 1842334 10592570 0 0 12286 0 0 0 0 27041151 147404 18544492 26893747 0 0 0 0 29206250 28748367 4585 4584 0 0 27162410 27379373 73618 73618 27240613 27457575 X 1965637 1290792 1965637 1290792 29206250 28748367 -674845 0 X false true X true false X X X 1 AXIS HEALTH SYSTEM 840506701 9 true 0 0 1 0 0 true false false false false false false false false false false false false false false false false Schedule A, Part IV, Section B, Line 1 Power to elect or appoint AXIS HEALTH SYSTEM, THE SUPPORTED ORGANIZATION, HAS THE AUTHORITY TO SELECT ONE OF THE MEMBERS OF THE BOARD. THE QALICB BOARD CHAIR IS THE CFO OF AXIS HEALTH SYSTEM. QALICB HAS ALSO DELEGATED MANAGEMENT DUTIES TO THE AXIS HEALTH SYSTEM, THE SUPPORTED ORGANIZATION. 753770 753770 26287381 147404 26139977 26893747 RELATED PARTY PAYABLE 73618 73618 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. false true false false false false false false false ALEX CONRAD PRESIDENT 0 167048 0 0 0 14499 0 10366 0 29737 0 221650 0 0 RYAN PIERCE VP OF FINANCE 0 137812 0 0 0 145 0 7717 0 11496 0 157170 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE COMPENSATION OF THE PRESIDENT IS PAID BY AXIS HEALTH SYSTEM (AXIS), THE SUPPORTED ORGANIZATION FOR HIS SERVICES AS CAO OF AXIS. AXIS USES THE FOLLOWING TO DETERMINE COMPENSATION FOR ITS OFFICERS: 1) COMPENSATION COMMITTEE, 2) COMPENSATION STUDY/SURVEY, AND 3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan AXIS HEALTH SYSTEM'S OFFICERS PARTICIPATE IN A DEFERRED COMPENSATION PLAN UNDER THE PROVISIONS OF CODE SECTION 457(F). THE PLAN RUNS ON A THREE YEAR CYCLE. DURING CALENDAR YEAR 2023, AXIS HEALTH SYSTEM CONTRIBUTED $5,000 EACH TO THE PLAN FOR R. PIERCE AND A. CONRAD. THERE WAS A 457F PAYOUT OF $14,357.98 MADE TO A. CONRAD IN CALENDAR YEAR 2023. Form 990, Part VI, Line 15 PROCESS FOR DETERMINING OFFICER COMPENSATION THE ORGANIZATION'S BOARD CHAIR IS COMPENSATED BY AXIS HEALTH SYSTEM, THE SUPPORTED ORGANIZATION. AXIS HEALTH SYSTEM'S COMPENSATION POLICY IS AS FOLLOWS: COMPENSATION FOR ALL JOB CLASSIFICATIONS, INCLUDING EXECUTIVE MANAGEMENT, IS REVIEWED PERIODICALLY USING INDEPENDENT RESOURCES. COMPENSATION INFORMATION IS ALSO OBTAINED FROM ALL COMMUNITY MENTAL HEALTH CENTERS AND FQHCS IN THE STATE TO ENSURE A VALID ASSESSMENT IS MADE. IN ADDITION, THE CEO COMPENSATION IS SUBJECT TO ADDITIONAL ANNUAL REVIEW BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. Form 990, Part VI, Line 3 Delegation of management duties AXIS HEALTH SYSTEM QALICB, INC. HAS CONTRACTED WITH AXIS HEALTH SYSTEM FOR KEY MANAGEMENT DUTIES. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. Form 990, Part VI, Line 11b Review of form 990 by governing body FORM 990 IS REVIEWED BY THE CEO AND VP OF FINANCE FOR AXIS HEALTH SYSTEM AND A COMPLETED DRAFT IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. Form 990, Part VI, Line 12c Conflict of interest policy ALL BOARD MEMBERS AND OFFICERS ARE COVERED BY THE POLICY. DETERMINATIONS ARE MADE AT THE BOARD LEVEL WITH THE ASSISTANCE OF GENERAL COUNSEL. ACTUAL CONFLICTS ARE REVIEWED BY THE BOARD. IF A CONFLICT IS FOUND IT WILL BE CURED BY RECUSAL. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. AXIS HEALTH SYSTEM 150 MERCURY VILLAGE DRIVE DURANGO CO 81301 840506701 MENTAL HEALTH CARE CO 501(c)(3) 10 NA false UNCOMPAHGRE MENTAL HEALTH SERVICES INC 150 MERCURY VILLAGE DRIVE DURANGO CO 81301 840850552 REAL ESTATE CO 501(c)(2) AXIS HEALTH SYSTEM false false false false false false false false false false true false false false true true true false false false